Simple Appointment Form

Student Agreement, Quote and Discounts Form
and Time Building Hours
Full Name*
First NameLast Name
ETA ID:*
E-mail*
Print a copy of your STUDENT AGREEMENT from your documents section in ETA. Refer to it and answer all the questions below.
Which payment option does your contract state:*
Please list the details of your payments/ deposits from records in your ETA Debit Account: *
Payment Deposit, Amount and Invoice # In accordance with Payment Schedule Selected
In your Student Agreement, find "Specials/ Discounts Details". What do the notes say?*
In your Student Agreement, find "Payment Schedule & Notes". What do the notes say?*
What was YOUR class start date?*
MonthDayYear
If your payment option was "Paid in Full" was the total noted on your Student Agreement in the "Estimated Tuition Costs" box paid within 5 days of the dates listed as "Class Start Date"?*
YesNoNot Applicable, because I did not use "Paid in Full"
If your payment option was "Installments" were all 3 of your installments recieved by the dates and in the total amounts listed on your Student Agreement in the "Payment Schedule & Notes"?*
YesNoNot Applicable, because I did not use "Installments"
Please provide full details as to what your questions or concerns. *
Should be Empty:

Student Agreement, Quote and Discounts Form